Organization
ALLENDALE COUNTY HOSPITAL BOARD
Active
Parent organization
ALLENDALE COUNTY HOSPITAL
Other names
John Edward Harter Nursing Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLENDALE COUNTY HOSPITAL
Authorized official
MR. KEN HIATT (ADMINISTRATOR)
(803) 632-3311
Entity
Organization
Contact information
Practice address
185 REVOLUTIONARY TRAIL, FAIRFAX, SC 29827
(803) 632-3311
(803) 632-3415
Mailing address
PO BOX 218, 185 REVOLUTIONARY TRAIL, FAIRFAX, SC 29827-0218
(803) 632-3311
(803) 632-9901
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCF-259
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118285
—
SC
Enumeration date
09/20/2006
Last updated
05/18/2012
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